Organization
EXCELLACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VANESSA METTI (ADMINISTRATOR)
(248) 476-9091
Entity
Organization
Contact information
Practice address
20853 FARMINGTON RD, FARMINGTON HILLS, MI 48336-5183
(248) 476-9091
(248) 476-1011
Mailing address
20853 FARMINGTON RD, FARMINGTON HILLS, MI 48336-5183
(248) 476-9091
(248) 476-1011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2283424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283424
—
MI
Enumeration date
04/18/2007
Last updated
08/22/2020
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